Active NPI
Vasilios Kountis, DO
- Interventional Pain Medicine Physician
- New York, NY
National Provider Identifier
1437410024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 276937
- Practice address
- 1317 3Rd Ave FL 7
New York, NY 10021 - Phone
- (212) 235-1265
- Fax
- (800) 615-2463
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 276937 | NY | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 25MB09681700 | NJ |
Addresses
Primary practice location
1317 3Rd Ave FL 7
New York, NY 10021
Mailing address
1317 3Rd Ave FL 7
New York, NY 10021-2957
Phone (212) 235-1265
Other practice location 1
155 E 76th St
New York, NY 10021-2810
Phone (212) 235-1265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
682 Metropolitan Ave
Staten Island, NY 10301-3432
Phone (718) 962-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09681700 | NJ | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vasilios Kountis DO, PLLC | Current | Accepting new patients | |
| Vasilios Kountis DO, PLLC | Current | Accepting new patients |
Locations
169 Madison Ave
New York, NY 10016
Phone (518) 516-5063
1317 3rd Ave
Fl 7
New York, NY 10021
Phone (212) 570-1816
Interoperability endpoints
- vkountis677935@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
- NPI 1669906061
-
- Durable Medical Equipment & Medical Supplies
- Staten Island, NY
- NPI 1710618798
-
- Orthopaedic Surgery Physician
- Staten Island, NY
- NPI 1487654273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437410024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 3RD AVE FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212957",
"telephone_number": "212-235-1265",
"fax_number": "800-615-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 3RD AVE FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-235-1265",
"fax_number": "800-615-2463"
}
],
"practiceLocations": [
{
"address_1": "155 E 76th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100212810",
"country_code": "US",
"telephone_number": "212-235-1265",
"fax_number": "800-615-2463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUNTIS",
"first_name": "VASILIOS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "276937",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "25MB09681700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.